On January 12, 2017, the Office of Inspector General ("OIG") of the Department of Health and Human Services issued a final rule to expand the exclusion regulations applicable to persons or entities receiving funds...

In brief, under this model, CMS will provide a "bundled" payment to participant hospitals for an "episode of care" for LEJR surgery, covering all services provided during the inpatient admission through 90 days post-discharge.

The Guidance updates previous guidance issued by OIG and AHLA, and incorporates insight from the AHIA and HCCA to help assist the internal auditors, compliance officers, and lawyers that report to the Boards.

On April 16, 2015, President Barack Obama signed into law the
Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The
bill permanently transforms the structure of Medicare physician
reimbursement ...